{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:12:46Z","timestamp":1789560766639,"version":"build-2803163510"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:00:00Z","timestamp":1772582400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Windswept deformity, with varus alignment in one knee and valgus alignment in the contralateral knee, presents asymmetric bone loss and soft-tissue imbalance that complicate total knee arthroplasty (TKA). We report a 70-year-old male with bilateral osteoarthritis and windswept deformity, showing 15\u00b0 varus on the left and 12\u00b0 valgus on the right. The left knee also had a 10-mm uncontained medial tibial defect. Staged TKAs were performed 6 weeks apart in a resource-limited setting. The varus knee was reconstructed with a screw-and-cement technique and a primary posterior-stabilized (PS) prosthesis without stems or augments. The valgus knee was managed with graded lateral releases, again allowing implantation of a primary PS prosthesis. At 3 months, both knees achieved 0\u00b0\u2013120\u00b0 range of motion, marked pain relief, and improved Knee Society Scores. At 3-year follow-up, the patient remains pain-free with neutral alignment and stable implants. This case emphasizes decision-making, defect management, and soft-tissue balancing when advanced constrained implants are not routinely available.<\/jats:p>","DOI":"10.4103\/aam.aam_800_25","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T12:01:09Z","timestamp":1772625669000},"page":"S258-S261","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Staged Total Knee Arthroplasty for Windswept Deformity Using Primary Posterior-stabilized Components in a Resource-limited Setting"],"prefix":"10.4103","volume":"25","author":[{"given":"Vishwas","family":"Kadambila","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Kanachur Institute of Medical Sciences, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. Salauddin","family":"Arif","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kanachur Institute of Medical Sciences, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikram G. K.","family":"Bhat","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kasturba Medical College, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. N. Naveen","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sparsh Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,4]]},"reference":[{"key":"R1-20260916","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/s43019-020-00062-3","article-title":"Windswept deformities of the knee are challenging to manage","volume":"32","author":"Babu","year":"2020","journal-title":"Knee Surg Relat Res"},{"key":"R2-20260916","doi-asserted-by":"crossref","first-page":"6580","DOI":"10.3390\/jcm11216580","article-title":"Bilateral knee arthroplasty in patients affected by windswept deformity: A systematic review","volume":"11","author":"Cammisa","year":"2022","journal-title":"J Clin Med"},{"key":"R3-20260916","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1054\/arth.2000.6624","article-title":"Windswept deformity in bilateral total knee arthroplasty","volume":"15","author":"Meding","year":"2000","journal-title":"J Arthroplasty"},{"key":"R4-20260916","doi-asserted-by":"crossref","first-page":"1","DOI":"10.13107\/jocr.2023.v13.i03.3562","article-title":"Analysis of gait ability and patient reported outcome measurements after robotic-assisted total knee arthroplasty for osteoarthritis of the knee with windswept deformity","volume":"13","author":"Omata","year":"2023","journal-title":"J Orthop Case Rep"},{"key":"R5-20260916","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s43019-024-00220-x","article-title":"Phenotype-considered kinematically aligned total knee arthroplasty for windswept-deformity-associated osteoarthritis: Surgical strategy and clinical outcomes","volume":"36","author":"Hsu","year":"2024","journal-title":"Knee Surg Relat Res"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_800_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:00:31Z","timestamp":1789560031000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_800_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,4]]},"references-count":5,"journal-issue":{"issue":"Suppl 2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_800_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,4]]},"assertion":[{"value":"2025-12-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}